| Doctor Name: | ALISON CIVALE |
| NPI Number: | 1023438918 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F350345-1 |
| Business Practice Address: | 26901 76th Ave Suite 344 New Hyde Park, NY - 110401433 |
| Business Phone Number: | 7184703380 |
| Business Fax Number: | |
| Mailing Address: | 4 E Mill Dr Apt 2h, GREAT NECK |
| State: | NY |
| Postal Code: | 110214090 |
| Phone Number: | 5164663733 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2014 |
| NPI Last Update Date: | 04/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | F350345-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |